Kaul Rahul, Sandhu H S, Talwar Brijinder Singh, Chengappa Dmm, Bali Atul, Koul Rishu
Dental Officer (Peadodontics and Preventive Dentistry), Field Hospital, Manipur, Punjab, India.
Classified Specialist (Prosthodontics) CMDC, Chandigarh, Punjab, India.
J Family Med Prim Care. 2021 May;10(5):1987-1993. doi: 10.4103/jfmpc.jfmpc_2419_20. Epub 2021 May 31.
Oral and dental health form an integral part of complete well being of an individual and society at large. Promoting oral health and societal progression go hand in hand.
To investigate dentists' attitudes about pain and infection control while treating children and adolescents by assessing their recommendations of pre- and postoperative analgesics and antibiotics, and use of local anesthesia (LA) for definitive treatment in different clinical scenarios.
A total of 400 dentists, both general dental practitioners (GDPS) as well as specialist dentists, were surveyed over a period of 2 months by using a pre-tested close-ended questionnaire. The data was statistically analyzed using Pearson's Chi-square test and backward logistic regression analysis for analysis of categorical variables and independent variables, respectively. Level of significance was set at 5%.
It was found that there was a gross overuse of antibiotics and analgesics and under use of LA by GDPs compared to specialist dentists. Postoperative antibiotics and analgesics were used more commonly than preoperative antibiotics and analgesics. These strategies were used more often in permanent teeth than primary teeth except the use of LA, which was used with equal frequency in both primary as well as permanent dentition.
Dependence on antibiotics and analgesics for achieving pain and infection control in children has to be minimized and focus has to be shifted on judicious definitive treatment involving use of LA, aseptic techniques, and behavior management techniques.
口腔和牙齿健康是个人乃至整个社会全面健康的重要组成部分。促进口腔健康与社会进步相辅相成。
通过评估牙医对儿童和青少年治疗前后镇痛药和抗生素的推荐情况，以及在不同临床场景中使用局部麻醉（LA）进行确定性治疗的情况，来调查牙医在治疗儿童和青少年时对疼痛和感染控制的态度。
在两个月的时间里，使用预先测试的封闭式问卷对总共400名牙医进行了调查，这些牙医包括普通牙科医生（GDPs）和专科牙医。分别使用Pearson卡方检验和向后逻辑回归分析对分类变量和自变量进行统计分析。显著性水平设定为5%。
发现与专科牙医相比，GDPs存在抗生素和镇痛药的过度使用以及LA的使用不足的情况。术后抗生素和镇痛药的使用比术前抗生素和镇痛药更为普遍。除了LA在乳牙和恒牙中的使用频率相同外，这些策略在恒牙中的使用比乳牙更为频繁。
必须尽量减少在儿童疼痛和感染控制方面对抗生素和镇痛药的依赖，并且重点必须转向明智的确定性治疗，包括使用LA、无菌技术和行为管理技术。
